Symptoms and Prescribing Requirements for Mood-Stabilizing Drugs
30 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What neurotransmitter dysfunctions are associated with symptoms of increased negative affect?

  • Serotonin (5HT) and norepinephrine (NE) dysfunction (correct)
  • Acetylcholine and glutamate dysfunction
  • Endorphin and oxytocin dysfunction
  • Dopamine and GABA dysfunction

What is required when prescribing mood-stabilizing drugs?

  • Baseline and routine laboratory monitoring
  • Pre-conception and contraceptive counseling for women of childbearing age
  • Product labeling for all antidepressants to contain information about potential risks of mania
  • All of the above (correct)

Which medication should be taken with at least 350 calories of food for maximum absorption and may be used as a second-line treatment for new-onset bipolar disorder in women who do not want to wait for long-term contraception or decide to get pregnant?

  • Lurasidone (correct)
  • Lithium carbonate
  • Lamotrigine
  • Valproic acid

For patients with renal failure who are prescribed lithium carbonate (Lithobid), what is the recommended starting dose adjustment?

<p>The starting dose should be reduced by at least 50% (B)</p> Signup and view all the answers

Which drug classes can increase lithium levels?

<p>NSAIDs and ACE inhibitors (B)</p> Signup and view all the answers

Which substance is mentioned in the text as decreasing lithium levels?

<p>Caffeine (C)</p> Signup and view all the answers

Which labs should be monitored for a patient on lithium?

<p>Serum lithium level, renal function, and thyroid function (B)</p> Signup and view all the answers

When does a patient need to return for lithium serum level monitoring after a dose increase?

<p>The text does not specify a timeframe (D)</p> Signup and view all the answers

What symptoms are associated with increased negative affect due to 5HT and NE dysfunction?

<p>Depressed mood, guilt, fear, anxiety (C)</p> Signup and view all the answers

What is a requirement for all antidepressants as per the FDA?

<p>Information about potential risks of mania on product labeling (B)</p> Signup and view all the answers

Which drug class may be used as a second-line treatment for new-onset bipolar disorder in women who do not want to wait for long-term contraception or decide to get pregnant?

<p>Lurasidone (C)</p> Signup and view all the answers

What is the recommended starting dose adjustment for patients with renal failure who are prescribed lithium carbonate?

<p>Reduce the dose by at least 50% (B)</p> Signup and view all the answers

Which two drug classes can increase lithium levels?

<p>NSAIDs and ACE inhibitors (D)</p> Signup and view all the answers

Which labs should be monitored for a patient on lithium?

<p>Serum lithium level, renal function, and thyroid function (C)</p> Signup and view all the answers

When should a patient return for lithium serum level monitoring after an increase in their lithium dose?

<p>$1-2$ days after the dose increase (C)</p> Signup and view all the answers

What is a common side effect of mood-stabilizing drugs that may require routine laboratory monitoring?

<p>Nephrotoxicity (C)</p> Signup and view all the answers

What are the symptoms associated with increased negative affect due to 5HT and NE dysfunction?

<p>Depressed mood, guilt, fear, anxiety, hostility, irritability, loneliness, appetite changes (C)</p> Signup and view all the answers

What is the starting dose requirement for patients with renal failure who are prescribed lithium carbonate (Lithobid)?

<p>The starting dose should be reduced by at least 50% (C)</p> Signup and view all the answers

Which two drug classes can increase lithium levels?

<p>NSAIDs and ACE inhibitors (A)</p> Signup and view all the answers

What medication should be taken with at least 350 calories of food for maximum absorption and may be used as a second-line treatment for new-onset bipolar disorder in women who do not want to wait for long-term contraception or decide to get pregnant?

<p>Lurasidone (D)</p> Signup and view all the answers

What is required when prescribing mood-stabilizing drugs?

<p>Both b and c (D)</p> Signup and view all the answers

What is the FDA requirement for all antidepressants?

<p>Product labeling must contain information about potential risks of mania (B)</p> Signup and view all the answers

Which substance is mentioned in the text as decreasing lithium levels?

<p>Caffeine (A)</p> Signup and view all the answers

When does a patient need to return for lithium serum level monitoring after an increase in their lithium dose?

<p>After 2 weeks (B)</p> Signup and view all the answers

Which laboratory tests should be monitored for a patient taking valproic acid (Depakote)?

<p>Serum valproate level, liver function, and CBC (D)</p> Signup and view all the answers

When should lithium serum levels be monitored after a dose adjustment?

<p>5 days after the adjustment (A)</p> Signup and view all the answers

Which laboratory tests should be monitored for a patient taking carbamazepine?

<p>Serum carbamazepine levels, renal and liver function, and CBC (A)</p> Signup and view all the answers

What is the recommended frequency for monitoring lithium levels in a stable patient?

<p>Every 6 months (A)</p> Signup and view all the answers

Which laboratory tests should be monitored for patients taking atypical antipsychotics?

<p>CBC and HbA1c (D)</p> Signup and view all the answers

What is a requirement when prescribing mood-stabilizing drugs to women of childbearing age?

<p>Pre-conception and contraceptive counseling (B)</p> Signup and view all the answers

More Like This

Use Quizgecko on...
Browser
Browser